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      Aneurisma sacular de vena yugular externa trombosada. A propósito de un caso Translated title: Thrombosis of external jugular vein aneurysm. A case report

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          Abstract

          RESUMEN La presentación clínica de un aneurisma venoso cervical, debido a su rareza, supone un reto diagnóstico. Se presentan como masas que pueden ser fácilmente confundidas con otras entidades patológicas cervicales. La ecografía doppler es el gold standard para su diagnóstico. La actitud terapéutica varía desde la resección quirúrgica hasta el watch & wait. Se presenta el caso clínico de una mujer de 79 años que presenta este defecto vascular. Es tratada mediante resección quirúrgica, con el posoperatorio que transcurre sin complicaciones.

          Translated abstract

          ABSTRACT The clinical presentation of a neck venous aneurysms, implies a diagnostic challenge due to its rarity. They are presented as neck masses that can easily be confused with other clinical neck entities. Doppler ultrasound technique is the gold standard to confirm its diagnosis. Therapeutic approach varies from surgical resection to watch & wait. We report a clinical case of a 79-year-old woman who came with this vascular defect. Surgical resection was performed and postoperative period runs without complications.

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          Bilateral popliteal vein aneurysms.

          An 82-year-old man was admitted with a left hip fracture sustained in a fall. The fracture was surgically repaired. Ipsilateral leg swelling developed over the following 2 weeks. A lower extremity venous duplex scan demonstrated isolated dilatation of the popliteal veins in both lower extremities. Chronic thrombosis was noted in both popliteal veins at the level of this dilatation. Initial duplex scanning also revealed acute thrombus in the left popliteal, posterior tibial, and peroneal veins. A repeat scan 1 week later identified propagation of thrombus into the superficial femoral vein. Popliteal vein aneurysms, although rare, can cause significant morbidity and mortality. The literature is also reviewed.
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            Jugular phlebectasia in children: is it rare or ignored?

            Phlebectasia of the jugular veins is a venous anomaly that usually presents in children as a soft cystic swelling in the neck during straining. The purpose of this report is to discuss the differential diagnosis, the methods of imaging, the mode of treatment, and to demonstrate some factors that have made us believe that the condition may not be an actual rarity but rather has been ignored. Eight cases of unilateral internal jugular phlebectasia were treated surgically (ie, excision of the dilated portion of the vein) from 1987 to 1998. The age of the patients ranged from 3 to 14 years. There were 3 girls and 5 boys. The lesions were right sided in 6, and left sided in 2 children. The patients underwent surgery after comparative ultrasonographic confirmation of the diagnosis. Furthermore, the authors prepared a simple questionnaire for evaluating the level of knowledge about this lesion among the related specialists. One hundred ten physicians were asked to describe the jugular phlebectasia and its ideal treatment. All of the patients were discharged from the hospital 24 hours after surgery. Follow-up periods ranged from 6 months to 6 years and no complaints were noted at the time of most recent visits. Our questionnaire results showed that 96% of 73 pediatricians, 37% of 22 otorhinolaryngologists, and 40% of 15 pediatric surgeons did not know what the jugular phlebectasia was. Color Doppler sonography alone is sufficient for the diagnosis of jugular phlebectasia. The authors recommend surgical excision in asymptomatic cases for cosmetic and psychological purposes. The rarity of the lesion may be caused by a lack of knowledge among the related physicians and the tendency of reporting only surgical results.
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              External jugular venous aneurysm: A clinical curiosity

              Jugular venous aneurysm is an extremely rare condition. The patients presented with a painless swelling in the neck that appears while coughing, straining, bending, or breath holding. Detection of a soft and compressible swelling in the course of an external jugular vein (EJV) superficial to the sternomastoid muscle, non-filling on compression of the EJV during Valsalva maneuver clinches the diagnosis of EJV aneurysm. Color Doppler ultrasound allows precise delineation of the lesion and is considered the gold standard for confirming the diagnosis. Surgical excision is indicated mostly for cosmetic reasons and symptomatic aneurysms. We, herein, report a patient with saccular external jugular venous aneurysm to highlight the typical clinical presentation and diagnosis of this rare entity.
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                Author and article information

                Journal
                maxi
                Revista Española de Cirugía Oral y Maxilofacial
                Rev Esp Cirug Oral y Maxilofac
                Sociedad Española de Cirugía Oral y Maxilofacial y de Cabeza y Cuello (Madrid, Madrid, Spain )
                1130-0558
                2173-9161
                December 2020
                : 42
                : 4
                : 179-181
                Affiliations
                [1] Barakaldo orgnameHospital Universitario Cruces orgdiv1Servicio de Cirugía Oral y Maxilofacial España
                [3] Barakaldo orgnameHospital Universitario Cruces orgdiv1Servicio de Radiodiagnóstico España
                [2] Barakaldo orgnameHospital Universitario Cruces orgdiv1Servicio de Anatomía Patológica España
                Article
                S1130-05582020000400007 S1130-0558(20)04200400007
                10.20986/recom.2020.1144/2020
                9b76b0f0-cb16-471c-8b44-62d260ef448b

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 02 May 2020
                : 15 April 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 10, Pages: 3
                Product

                SciELO Spain

                Categories
                Casos Clínicos

                External jugular vein,thrombosis,trombosis,Vena yugular externa,aneurisma,aneurysm

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